Bradley Tyler Peterson, PHARMACY INTERN

NPI #1558181784 in Mount Pleasant, South Carolina

Provider Information

NPI Number: 1558181784
Entity Type: Individual
Name: Bradley Tyler Peterson, PHARMACY INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PHARMACY INTERN
Enumeration Date: Oct 14, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 620 LONG POINT RD
City: Mount Pleasant
State: South Carolina
ZIP Code: 29464-8363
Phone: (843) 856-4902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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